JournalFeed

APRIL 4, 2020

We cover Pediatric Surviving Sepsis; mortality risk after out-of-hospital naloxone; spontaneous pneumothorax - tube or no tube; opioids prior to pediatric sedation; and HINTS by emergency physicians and stroke risk. Here is the JournalFeed Podcast for the week of March 30- April 3, 2020.

Sepsis 52

Sepsis Stroke Pediatrics Hospitals 52

EMDocs

OCTOBER 19, 2024

Blood cultures: Blood cultures are rarely positive; however, should be obtained if suspicion for sepsis is present or if the patient is immunocompromised. [2][3] Pediatric Bacterial Tracheitis—A Variable Entity: Case Series with Literature Review. Hospital Pediatrics. Pediatric Pulmonology. Pediatric Pulmonology.

EMS 106

EMS Pediatrics Sepsis Airway Management 106

Pediatric Emergency Playbook

AUGUST 1, 2017

Pediatr Rev. Intestinal Malrotation – Not Just the Pediatric Surgeon’s Problem. Pediatr Surg Int. Eur J Pediatr Surg 2016; 26:192. Pediatrics 1977; 60:457. J Pediatr Gastroenterol Nutr 2008; 46:13. J Pediatr 2005; 146:787. Pediatr Surg Int 2003; 19:439. Pediatr Surg Int 2003; 19:247.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

Don't Forget the Bubbles

MAY 6, 2024

Acad Pediatr. Reviewed by: Tasnim Ransome and Spyridon Karageorgos Article 3: Which Sepsis Scoring Tools Perform Best? Organ Dysfunction in Children With Blood Culture-Proven Sepsis: Comparative Performance of Four Scores in a National Cohort Study. Pediatric Critical Care Medicine , 25 (3), pp.e117-e128. Hagenbuch, N.,

Sepsis 75

Sepsis Pediatrics Outcomes Documentation/Coding 75

Don't Forget the Bubbles

MAY 17, 2023

The Bubble Wrap Plus is a monthly paediatric journal club reading list from Anke Raaijmakers, working with Professor Jaan Toelen and his team at the University Hospitals in Leuven. Eur J Pediatr. Original clinical studies The impact of the early onset neonatal sepsis calculator on antibiotic initiation: a single center study in Israel.

Pediatrics 72

Pediatrics X-Ray Interpretation Sepsis Fractures 72

Don't Forget the Bubbles

JUNE 30, 2023

Importantly, there were no differences between the groups regarding complications, including acute respiratory distress syndrome, multiple organ failure, venous thromboembolism, sepsis, and transfusion-related complications. J Pediatr Surg. But this was all done in adults, and no comparable prospective trials in children exist.

Resuscitation 139

Resuscitation Operations Sepsis Pediatrics 139

EMDocs

JULY 1, 2023

Patients should be admitted to the hospital and cardiology consulted early in their course. Kawasaki disease: two case reports from the Aga Khan Hospital, Dar es Salaam-Tanzania. BMC Pediatrics. Management of Kawasaki disease includes high-dose aspirin and intravenous immune globulin (IVIG). cm, mucous membrane involvement (e.g.

EMS 84

EMS Infectious Diseases Pediatrics Research 84

The Skeptics' Guide to EM

NOVEMBER 18, 2017

Fever in the Emergency Department Predicts Survival of Patients With Severe Sepsis and Septic Shock Admitted to the ICU. Guest Skeptic: Jesse Spurr works as a Nurse Educator in the Emergency Department at Redcliffe Hospital in Australia. Following the triage sepsis pathway, recently amended to use qSOFA.

Sepsis 52

Sepsis Emergency Department Seizures Pediatrics 52

PEMBlog

AUGUST 20, 2024

ECPR involves using ECMO (Extracorporeal Membrane Oxygenation) to take over heart and lung functions, offering a last-resort option that is becoming more common in large pediatric hospitals. The episode highlights the importance of understanding eCPR as a critical therapy for both in-hospital and out-of-hospital cardiac arrests.

CPR 52

CPR Resuscitation Pediatrics Hospitals 52

Taming the SRU

MARCH 10, 2024

There are also many costs to hypoglycemia, both in terms of financial burdens on hospitals/caretakers/patients, and in terms of morbidity and mortality. For example breath holding spells in pediatrics, loss of autonomic sensitivity in the elderly, loss of vasculature compliance in the elderly, and compression of the IVC by a gravid uterus.

EKG/ECG 97

EKG/ECG Shock Wellness EMS 97

Pediatric Emergency Playbook

APRIL 1, 2016

Read on to go from bread-and-butter pediatric blood work to answer the question – what’s up with troponin, lactate, d-dimer, and BNP in kids? This is especially true in children – the majority of pediatric ambulatory visits do not require blood work to make a decision about acute care. The punchline is, use a pediatric reference.

Pediatrics 52

Pediatrics Sepsis Shock Outcomes 52

EMDocs

NOVEMBER 27, 2023

Authors: Katey DG Osborne, MD (EM Attending Physician; Tacoma, WA), Rachel Bridwell, MD (EM Attending Physician; Tacoma, WA) // Reviewed by: Alex Koyfman, MD (@EMHighAK, EM Attending Physician, UTSW / Parkland Memorial Hospital) and Brit Long, MD (@long_brit, EM Attending Physician, San Antonio, TX) Welcome to emDOCs revamp! Case Rep Pediatr.

EMS 91

EMS Sepsis Burns EKG/ECG 91

Don't Forget the Bubbles

JANUARY 10, 2024

Severe anaemia is a common and life-threatening cause of hospital admission in children in sub-Saharan Africa. 8% die in hospital, with a further 12% dying in the six months following discharge. Population 6171 children from three hospitals in Uganda and one in Malawi were assessed for eligibility. Do you believe the results?

Blood Transfusions 78

Blood Transfusions Research Outcomes Hospitals 78

PEMBlog

OCTOBER 18, 2023

PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. rectally, prompting a sepsis workup given his age. This patient was hospitalized for 4 days where he remained well-appearing. Journal of the Pediatric Infectious Diseases Society, 10(2), 205–206. Nishida, H.,

Infectious Diseases 59

Infectious Diseases Shock Pediatrics Wellness 59

Taming the SRU

AUGUST 30, 2023

In a small study involving 79 hospitalized children, PCT was found to be elevated in bacterial infections, with a decrease after appropriate antibiotic therapy, and decreased in viral infections [24]. Sepsis PCT may have some utility in guiding posttest probability for sepsis when the diagnosis is unclear. Cleland DA, Eranki AP.

Infectious Diseases 89

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 89

PEMBlog

MARCH 27, 2024

My special guest podcaster, Emily Groopman, is an actual Pediatric Geneticist in training and we hope that you will find this episode useful. Pediatr Rev. Pediatrics. Transcript Note: This transcript was partially completed with the use of the Descript AI Welcome to PEM Currents, the Pediatric Emergency Medicine Podcast.

Pediatrics 59

Pediatrics Seizures Emergency Department Sepsis 59

The Skeptics' Guide to EM

FEBRUARY 10, 2018

Lancet January 2018 Guest Skeptic: Dr. Tessa Davis is a Pediatrician specialising in Pediatric Emergency Medicine and currently practicing in a central London hospital. Outcome: * Primary: Length of stay in the hospital * Secondary: Re-attendance; readmission; salbutamol usage; and residual symptoms after discharge Dr. .

Emergency Department 40

Emergency Department Pediatrics Sepsis Hospitals 40

Broome Docs

APRIL 6, 2023

Early Restrictive or Liberal Fluid Management for Sepsis-Induced Hypotension. Clinical Outcomes After Intensifying Antihypertensive Medication Regimens Among Older Adults at Hospital Discharge. Epinephrine metered-dose inhaler for pediatric croup. N Engl J Med. 2023 Jan 21. doi: 10.1056/NEJMoa2212663. Epub ahead of print.

Sepsis 52

Sepsis Ultrasounds Hospitals Fractures 52

Pediatric Emergency Playbook

JUNE 1, 2016

Hypovolemic Shock The most common presentation of pediatric shock; look for decreased activity, decreased urine output, absence of tears, dry mucous membranes, sunken fontanelle. Distributive Shock The most common cause of distributive shock is sepsis, followed by anaphylactic, toxicologic, adrenal, and neurogenic causes. Pediatrics.

Shock 40

Shock Sepsis Pediatrics Ultrasounds 40

EB Medicine

MARCH 4, 2020

Literature Review: There is abundant literature on pediatric AGE but sparse research on AGE in adults. Therefore, many recommendations are extrapolated from the pediatric literature. Consider them for immunocompromised patients and those with recent abx use or hospitalization. Salmonella, most common o 5.3% But PPV was only 24%.

Emergency Department 40

Emergency Department Dehydration Poisoning Allergic Reactions 40

Pediatric Emergency Playbook

MAY 1, 2017

Pediatrics. Pediatrics. Check the bilirubin in any neonate you are working up for sepsis. Hospital Stay for Healthy Term Newborn Infants. Pediatrics. Pediatrics. Pediatrics. Pediatrics. Pediatrics. Pediatrics in Review. Pediatrics. This will tell you: home or admission.

Dehydration 52

Dehydration Pediatrics Wellness Seizures 52

Northwestern EM Blog

MAY 16, 2022

were hospitalizations during f/u period; 26.4% were hospitalizations during f/u period; 26.4% were hospitalizations during f/u period; 26.4% There also were no significant differences in pain scores, hospitalizations, ED readmissions among the groups. vs. US 31.2%

Ultrasounds 52

Ultrasounds Radiology Radiology Outcomes 52

Pediatric Education

AUGUST 20, 2023

per 100,000 hospitalizations in 2014. in the pediatric populations as noted above. In the US study, the most common underlying PLA risk factor was liver transplant with biliary disease, malignancy and intrabdominal pathology and severe sepsis being other common factors in this population. J Pediatr Gastroenterol Nutr.

Pediatrics 40

Pediatrics Infectious Diseases Wellness Sepsis 40

Taming the SRU

MAY 1, 2023

Trauma/Pre-Hosp Optimal Out-of-Hospital Blood Pressure in Major Traumatic Brain Injury: A Challenge to the Current Understanding of Hypotension Link: [link] Bottom Line: Think about maintaining normotension rather than simply avoiding hypotension in isolated TBI. and NPV(50%).

Poisoning 52

Poisoning Hyperthermia / Hypothermia Seizures Emergency Department 52

Don't Forget the Bubbles

NOVEMBER 15, 2023

Jasmine, a hypothetical case Jasmine is a 5-year-old girl weighing 18kg admitted to PICU with suspected sepsis. Many years ago, there was a large body of evidence in reports from Northern Irish hospitals showing children who received large volumes of hypotonic IV fluids subsequently developed hyponatraemic encephalopathy and cerebral oedema.

Resuscitation 80

Resuscitation Dehydration Administration Shock 80

Pediatric Education

SEPTEMBER 10, 2023

Patient Presentation A term newborn male was transferred to the regional children’s hospital after having respiratory distress that developed after birth. The patient had a sepsis evaluation and was started on empiric antibiotics. Semin Pediatr Surg. Pediatr Radiol. Pediatr Pulmonol. Pediatr Pulmonol.

Pediatrics 40

Pediatrics Radiology Radiology Sepsis 40

ACEP Now

MARCH 6, 2024

Finally, the “EXACT” trial examined whether, in patients with return of spontaneous circulation after an out of hospital cardiac arrest, a peripheral oxygenation target of 90–94 percent conferred a survival benefit, as compared with the typical 98–100 percent. Survival to hospital discharge favored the “standard care” group, 47.9

Research 52

Research Airway Management Stroke Outcomes 52

Don't Forget the Bubbles

JUNE 10, 2024

Systemic Infections : Sepsis and other systemic infections can predispose infants to NEC by compromising the gut barrier and promoting inflammation. Differential diagnoses include septic ileus, and infection causes such as sepsis, meningitis and pneumonia. Pediatric Clinics of North America, 64(1), 1-15. ANZNN Annual Report.

Pediatrics 40

Pediatrics Sepsis Fluid Resuscitation Outcomes 40

ACEP Now

JULY 7, 2024

Patients with status epilepticus require hospital admission, often to an intensive care setting. Utility of electroencephalogram in the pediatric emergency department. Appropriate dosing is associated with seizure termination and reduced complications. Consultation with neurology should be sought to guide therapy. Ann Emerg Med.

Seizures 52

Seizures Emergency Department Outcomes EMS 52

Don't Forget the Bubbles

MAY 28, 2024

Hence, PPHN can be idiopathic or secondary to a variety of conditions such as meconium aspiration syndrome , respiratory distress syndrome, sepsis, asphyxia and congenital diaphragmatic hernia. Pediatric Critical Care Medicine , 11(2 Suppl), S79-S84. Great Ormond Street Hospital. Physiology, Newborn. StatPearls [Internet].

Sepsis 52

Sepsis Ultrasounds Pediatrics Research 52

EB Medicine

NOVEMBER 1, 2018

It was peer reviewed by Dr. O’Keefe and Dr. Silverberg from Florida State University College of Medicine and Kings County Hospital, respectively. Jeff: And unlike past issues covering more common pathologies, like, say, sepsis, this month’s team reviewed much more literature than just the past 10 years. That’s -- high.

Emergency Department 40

Emergency Department Burns EKG/ECG Shock 40

Don't Forget the Bubbles

MARCH 4, 2024

We have teamed up with the team from the Emergency Department at Bristol Royal Hospital, who have used this as a springboard for their journal club. (It’s The hospital is the Paediatric Major Trauma Centre for the South-West. Reviewed by: John Coveney Article 2: How do we define sepsis in children? doi:10.1001/jama.2024.0179

Hospitals 78

Hospitals Sepsis Fractures Emergency Department 78

Don't Forget the Bubbles

NOVEMBER 1, 2023

This month, Bubble Wrap has teamed up with Sheffield Children’s Hospital Emergency Department to have a look at what’s new in paediatric literature. Sheffield Children’s Hospital is a stand-alone tertiary children’s hospital in the heart of Sheffield with a paediatric MTC. Pediatric Emergency Care.

Emergency Department 140

Emergency Department Hospitals Resuscitation Administration 140

EB Medicine

SEPTEMBER 1, 2018

Nachi: Right, but in Australia, not only are the snakes more venomous but the hospital transport distances are much longer, so, basically they sacrifice the limb to potentially save a life. Jeff: Continuing right along, the next special population to discuss are pediatric patients. Talk to you soon Most Important References 4.

Emergency Department 40

Emergency Department Poisoning Anaphylaxis Allergic Reactions 40

Don't Forget the Bubbles

MAY 8, 2024

The Bubble Wrap Plus is a monthly paediatric Journal Club reading list from Professor Jaan Toelen (University Hospitals Leuven) and Dr Anke Raaijmakers (Sydney Children’s Hospital). Pediatr Nephrol. Eur J Pediatr. Long COVID in pediatrics-epidemiology, diagnosis, and management. Eur J Pediatr. Eur J Pediatr.

Pediatrics 69

Pediatrics Emergency Department Outcomes Research 69

Mind The Bleep

FEBRUARY 27, 2024

This is hospital dependent and you should be told about which fluid to prescribe at your induction (or I’m sure the nurses will tell you!) 3] The type of IV fluid you use will vary depending on which hospital you are working in and what is available. saline + 5% dextrose or plasma-lyte 148 + 5% dextrose. How much fluid?

Fluid Resuscitation 96

Fluid Resuscitation Hospitals Dehydration Research 96

Don't Forget the Bubbles

JULY 22, 2024

They conclude that their IPD meta-analysis shows that “ children with acute preschool wheeze who received oral corticosteroids had statistically significant improvement in WSS at 4 hours and length of hospital stay.” Pediatr Pulmonol. JAMA Pediatrics. But how can we apply these findings in everyday practice? Arch Dis Child.

Outcomes 105

Outcomes Research Pediatrics Hospitals 105